Changes in use of long-acting contraceptive methods in the United States, 2007–2009
Open accessAbstract
Objective To examine trends in the use of long-acting reversible contraceptive (LARC) methods-the intrauterine device (IUD) and implant--and the extent to which these methods have replaced permanent sterilization and less effective short-acting methods. Design We tabulated data from female survey respondents overall and by demographic subgroups. We performed t-tests of the differences in the proportions of female contraceptors using LARC in 2007 and 2009. We also looked at use of LARC, sterilization, other methods, and no method among women at risk of unintended pregnancy. Setting In-home survey. Patient(s) All female respondents to the surveys. Intervention(s) None. Main outcome measure(s) Current use of LARC methods in 2009, and change in use from 2007. Result(s) The proportion of contraceptors using LARC increased significantly from 2.4% in 2002 to 3.7% in 2007 and 8.5% in 2009. The increase occurred among women in almost every age, race, education, and income group. Among women at risk of unintended pregnancy, increases in LARC use more than offset decreases in sterilization. Conclusion(s) LARC methods (primarily IUDs) are contributing to an increase in contraceptive effectiveness in the United States.
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During the post-recession period, the availability and use of long-acting reversible contraceptives increased substantially.
“During the post-recession period, availability and usage of long acting reversible contraceptives (LARCs) increased substantially (Branum and Jones 2015; Finer, Jerman, and Kavanaugh 2012).”
From Beyond the Great Recession: Labor Market Polarization and Ongoing Fertility Decline in the United States (2019) · cites this paper as Finer, Jerman, and Kavanaugh 2012
The Results report that LARC use among U.S. contraceptors rose substantially from 3.7% in 2007 to 8.5% in 2009. The paper does not establish that availability also increased substantially, and its 2007–2009 comparison does not specifically establish a post-recession trend. (LLM, conf=0.86)
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Cites
U.S. Medical Eligibility Criteria for Contraceptive Use, 2016
Curtis, K. M., Tepper, N. K., Jatlaoui, T. C., Berry-Bibee, E., Horton, L. G., Zapata, L. B., Simmons, K. B., Pagano, H. P., Jamieson, D. J., & Whiteman, M. K. (2016) · MMWR. Recommendations and Reports · doi:10.15585/mmwr.rr6503a1 · Cited by 1,456 · see citing works
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Research works printed but not linked: 11
- [1]Finer LB Zolna M Unintended pregnancy in the United States: incidence and disparities, 2006 Contraception 2011 85 478 85 22018121 PMC3338192
- [3]Trussell J Lalla A Doan Q Reyes E Pinto L Gricar J Cost-effectiveness of contraceptives in the United States Contraception 2009 1 1 79 5 14 19041435 PMC3638200
- [4]Finer LB Unintended pregnancy among U.S. adolescents: accounting for sexual activity J Adolesc Health 2010 47 312 4 20708573
- [6]Centers for Disease Control and Prevention Prepregnancy contraceptive use among teens with unintended pregnancies resulting in live births — Pregnancy Risk Assessment Monitoring System (PRAMS), 2004–2008 MMWR 2012 1 20 61 25 9 22258415
- [7]ACOG ACOG practice bulletin No. 59: Intrauterine device Obstet Gynecol 2005 1 105 223 32 15625179
- [8]ACOG ACOG practice bulletin No. 109: Cervical cytology screening Obstet Gynecol 2009 12 1 114 1409 20 20134296
- [9]Hall KS Moreau C Trussell J Determinants and disparities in reproductive health service use among adolescent and young adult women in the United States, 2002–2008 Am J Public Health 2012 102 359 67 22390451 PMC3483992
- [11]Hillis SD Marchbanks PA Tylor LR Peterson HB Poststerilization regret: findings from the United States Collaborative Review of Sterilization Obstet Gynecol 1999 93 889 95 10362150
- [12]Kavanaugh ML Jerman J Hubacher D Kost K Finer LB Characteristics of women in the United States who use long-acting reversible contraceptive methods Obstet Gynecol 2011 6 117 1349 57 21606745
- [14]Hubacher D The checkered history and bright future of intrauterine contraception in the United States Perspect Sex Reprod Health 2002 34 98 103 12043715
- [16]Kavanaugh ML Jerman J Hubacher D Kost K Finer LB Characteristics of women in the United States who use long-acting reversible contraceptive methods Obstet Gynecol 2011 6 117 1349 57 21606745
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Our future: a Lancet commission on adolescent health and wellbeing
Patton, G. C., Sawyer, S. M., Santelli, J. S., Ross, D. A., Afifi, R., Allen, N. B., Arora, M., Azzopardi, P., Baldwin, W., Bonell, C., et al. (2016) · The Lancet · doi:10.1016/s0140-6736(16)00579-1 · Cited by 3,785 · see citing works
Ott, M. A., Sucato, G. S., COMMITTEE ON ADOLESCENCE, Braverman, P. K., Adelman, W. P., Alderman, E. M., Breuner, C. C., Levine, D. A., Marcell, A. V., & O’Brien, R. F. (2014) · PEDIATRICS · doi:10.1542/peds.2014-2300 · Cited by 402 · see citing works
Seltzer, N. (2019) · Demography · doi:10.1007/s13524-019-00790-6 · Cited by 196 · see citing works
“During the post-recession period, availability and usage of long-acting reversible contraceptives (LARCs) increased substantially (Branum and Jones 2015; Finer et al. 2012).”
- Authors
- Finer, L. B., Jerman, J., & Kavanaugh, M. L.
- Affiliations
- Guttmacher Institute (US)
- Corresponding author
- Finer, Lawrence B.
- ORCID
- Kavanaugh, Megan L.
- Venue
- Fertility and Sterility
- Publisher
- Elsevier BV
- Published
- 2012-10
- Volume
- 98
- Issue
- 4
- Pages
- 893-897
- ISSN
- 0015-0282 (ISSN-L)
- PMC
- PMC3462302
- OpenAlex
- W2027847229
- Cited by
- 308
- References
- 1
- Citations by year
- 2026: 2 · 2024: 4 · 2023: 6 · 2022: 14 · 2021: 10 · 2020: 9 · 2019: 15 · 2018: 16 · 2017: 25 · 2016: 41 · 2015: 57 · 2014: 64 · 2013: 41 · 2012: 4
- FWCI
- 51.31
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Fertility and Sterility (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Child Health and Human Development (1 R01 HD059896)
- National Institutes of Health
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
- Health Sciences › Health Professions › General Health Professions › Male Reproductive Health Studies
- Social Sciences › Political Science and International Relations › International Human Rights and Reproductive Law
- Keywords
- long-acting reversible contraception, intrauterine devices, contraceptive implants, contraceptive use trends, female sterilization, unintended pregnancy, contraceptive effectiveness, women's contraceptive choice
- MeSH terms
- Adolescent, Adult, Contraception, Contraceptive Agents, Female, Contraceptive Devices, Female, Family Planning Services, Female, Health Surveys, Humans, Pregnancy, Pregnancy, Unwanted, Sterilization, Reproductive, United States, Young Adult
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